A T-shaped musculomucosal buccal flap method for cleft palate surgery.
A T-shaped musculomucosal buccal flap method for cleft palate surgery.
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用于腭裂手术的 T 形肌粘膜颊瓣方法。
DOI：
10.1097/00006534-198706000-00006
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发表时间：
1987
影响因子：
3.6
通讯作者：
S. Ando
中科院分区：
文献类型：
--
作者：
K. Maeda;H. Ojimi;R. Utsugi;S. Ando
腭裂手术的主要目的不仅是关闭腭裂，而且通过重新定位提上睑肌来向后推腭，以确保获得正常的语音。虽然使用黏骨膜瓣的后推手术是一种简单有效的咽闭合方法，但有时会发生术后瘘，特别是当腭裂较宽时。此外，术后上颌骨畸形，可能是由于提高粘骨膜腭瓣，是非常麻烦的。为了达到鼻黏膜后推的目的，我们采用了Kaplan颊瓣法，该方法也适用于重建提上睑肌吊带。另一侧颊瓣覆盖于唇裂边缘的铰链瓣上。这导致上颌骨生长的干扰少得多。我们称之为“T”形颊瓣法，并应用于30余例各种类型腭裂的修复，取得了满意的效果。
The primary aim of cleft palate surgery is not only to close the cleft palate but to push back the palate by repositioning the levator muscle to ensure that normal speech is obtained. Although the pushback operation using a mucoperiosteal flap is a readily effective method for velopharyngeal closure, postoperative fistula sometimes occurs, especially when the cleft palate is wide. Furthermore, postoperative maxillary deformity, possibly due to elevating the mucoperiosteal palatal flap, is extremely troublesome. For the purpose of pushing back the nasal mucosa, we applied the Kaplan buccal flap method, which is also applicable for reestablishing the levator muscle sling. The other buccal flap is covered on the hinged flap of the pared cleft margins. This results in far less disturbance of maxillary growth. We call it the T-shaped buccal flap method, and we have applied it in over 30 patients with various cleft palates and have obtained satisfactory results.